Reducing Recreational Sedentary Screen Time A Community Guide Systematic Review

被引：63

作者：

Buchanan, Leigh Ramsey ^{[1
]}

Rooks-Peck, Cherie R. ^{[1
]}

Finnie, Ramona K. C. ^{[1
]}

Wethington, Holly R. ^{[1
]}

Jacob, Verughese ^{[1
]}

Fulton, Janet E. ^{[2
]}

Johnson, Donna B. ^{[4
]}

Kahwati, Leila C. ^{[5
]}

Pratt, Charlotte A. ^{[3
]}

Ramirez, Gilbert ^{[6
]}

Glanz, Karen ^{[7
,8
]}

机构：

[1] CDC, Community Guide Branch, Div Publ Hlth Informat Disseminat, Ctr Surveillance Epidemiol & Lab Serv, Atlanta, GA 30333 USA

[2] CDC, Phys Act & Hlth Branch, Div Nutr Phys Act & Obes, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA

[3] NHLBI, Clin Applicat & Prevent Branch, Prevent & Populat Sci Program, Div Cardiovasc Sci,NIH, Bldg 10, Bethesda, MD 20892 USA

[4] Univ Washington, Ctr Publ Hlth Nutr, Seattle, WA 98195 USA

[5] RTI Int, Res Triangle Pk, NC USA

[6] Texas A&M, Sch Publ Hlth, College Stn, TX USA

[7] Univ Penn, Sch Med, Philadelphia, PA 19104 USA

[8] Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA

来源：

AMERICAN JOURNAL OF PREVENTIVE MEDICINE | 2016年 / 50卷 / 03期

关键词：

RANDOMIZED-CONTROLLED-TRIAL; BODY-MASS INDEX; PROMOTE PHYSICAL-ACTIVITY; PRIMARY-SCHOOL CHILDREN; OPEN-LOOP FEEDBACK; OBESITY PREVENTION; PRIMARY-CARE; INTERDISCIPLINARY INTERVENTION; DECISION-MAKING; MEDIA USE;

D O I：

10.1016/j.amepre.2015.09.030

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Context: Sedentary time spent with screen media is associated with obesity among children and adults. Obesity has potentially serious health consequences, such as heart disease and diabetes. This Community Guide systematic review examined the effectiveness and economic efficiency of behavioral interventions aimed at reducing recreational (i.e., neither school-nor work-related) sedentary screen time, as measured by screen time, physical activity, diet, and weight-related outcomes. Evidence acquisition: For this review, an earlier ("original") review (search period, 1966 through July 2007) was combined with updated evidence (search period, April 2007 through June 2013) to assess effectiveness of behavioral interventions aimed at reducing recreational sedentary screen time. Existing Community Guide systematic review methods were used. Analyses were conducted in 2013-2014. Evidence synthesis: The review included 49 studies. Two types of behavioral interventions were evaluated that either (1) focus on reducing recreational sedentary screen time only (12 studies); or (2) focus equally on reducing recreational sedentary screen time and improving physical activity or diet (37 studies). Most studies targeted children aged <= 13 years. Children's composite screen time (TV viewing plus other forms of recreational sedentary screen time) decreased 26.4 (interquartile interval = -74.4, -12.0) minutes/day and obesity prevalence decreased 2.3 (interquartile interval = -4.5, -1.2) percentage points versus a comparison group. Improvements in physical activity and diet were reported. Three study arms among adults found composite screen time decreased by 130.2 minutes/day. Conclusions: Among children, these interventions demonstrated reduced screen time, increased physical activity, and improved diet- and weight-related outcomes. More research is needed among adolescents and adults. Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine

引用

页码：402 / 415

页数：14

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